Individual
MRS. JENNIFER RENEA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
3901 SW FRIAR RD, TOPEKA, KS 66610-1532
(785) 554-6841
Mailing address
3901 SW FRIAR RD, TOPEKA, KS 66610-1532
(785) 554-6841
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1397463081
KS
171M00000X
Case Manager/Care Coordinator
Primary
1397463081
KS
Other
Enumeration date
09/11/2009
Last updated
12/28/2009
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